Ashley Mazzanna, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5466 Issued in SC

Practice address

121 Muirfield CT W
Blythewood, SC 29016-9576

Phone

(843) 476-6674

NPI assigned

May 6, 2014

Last updated

May 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1376953810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MUIRFIELD CT W",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169576",
            "telephone_number": "843-476-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MUIRFIELD CT W",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169576",
            "telephone_number": "843-476-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZANNA",
        "first_name": "ASHLEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Major
• Mary RC F #3
• Mary's RCF #3
• Natasha Mason
• Benjamin Mathew, PHD
• Kelsey Klostermeyer McDill, M.D.
• Christa McLaughlin, MSW
• Mental Health America (Kiva)
• Mha
• Rutileia Da Silva Michel

• Speech-Language Pathologist in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.